Successful Pregnancy Following the Ethanol Sclerotherapy in a Woman With Endometrioma With a History of Recurrent Cleavage Formation after ICSI: A Case Report

Saghar Salehpour, Parisa Taherzadeh Borujeni, Nazanin Hajizadeh
In: International Journal of Women's Health and Reproduction Sciences · 2024 · vol. 12(3) , pp. 147–149 · doi:10.15296/ijwhr.2024.8257 · W4401428640
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This case report describes a successful pregnancy achieved via embryo transfer following ethanol sclerotherapy treatment for an endometrioma in a patient with a history of recurrent implantation failure after ICSI.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 · read from full text ⓘ

This case report describes a 30-year-old infertile woman with an endometrioma who had a history of abdominal pain and three cleavage-stage arrest events after ICSI. The authors selected ethanol sclerotherapy (EST) and then initiated ovarian stimulation eight weeks later using a minimal stimulation IVF protocol, retrieving six oocytes and creating three embryos (frozen), with pregnancy achieved after two frozen embryo transfers. The reported caveat is that this is a single-patient case, so conclusions about effectiveness cannot be generalized. This paper is centrally about endometriosis—specifically, use of ethanol sclerotherapy in a patient with an endometrioma to achieve successful pregnancy after prior ICSI failure with cleavage formation arrests.

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Abstract

Introduction: Endometriosis is a chronic inflammatory condition affecting 6 to 10% of the women at reproductive age. The clinical manifestations of this condition differ according to its location. Case Presentation: In this study, the case of a 30-year-old infertile woman presented with a history of abdominal pain and three times cleavage formation arrests after Intracytoplasmic sperm injection (ICSI) was reported. Ethanol sclerotherapy (EST) was selected due to abdominal pain and previous in vitro fertilization (IVF) cycles, and ovarian stimulation was initiated eight weeks later. The patient was stimulated in a minimal stimulation protocol. A total of six oocytes were retrieved, resulting in 3 embryos of good to moderate quality that were frozen. The patient became pregnant following two embryo transfers in the FET cycle. Conclusion: EST may have been considered as a first-line therapy to treat infertility after the failure of IVF. It was found that EST may have improved IVF outcomes.
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Jul 2024, Vol 12, Issue 3 Advanced Search For Author's & Reviewer's Poll How do you find the scientific quality of the published articles on our web site? | Case Report | | | Successful Pregnancy Following the Ethanol Sclerotherapy in a Woman With Endometrioma With a History of Recurrent Cleavage Formation after ICSI: A Case Report | | | Saghar Salehpour, Parisa Taherzadeh Borujeni, Nazanin Hajizadeh | | | Department of Obstetrics and Gynecology, Men’s Health and Reproductive Health Research Center, Ayatollah Taleghani Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran | | | IJWHR 2024; 12: 147-149 DOI: 10.15296/ijwhr.2024.8257 Viewed : 2279 times Downloaded : 10154 times. Keywords : Endometrioma, Intracytoplasmic sperm injection, IVF, In vitro fertilization, Ethanol sclerotherapy | | | Full Text(PDF) | Related Articles | | | Abstract | | Introduction: Endometriosis is a chronic inflammatory condition affecting 6 to 10% of the women at reproductive age. The clinical manifestations of this condition differ according to its location. Case Presentation: In this study, the case of a 30-year-old infertile woman presented with a history of abdominal pain and three times cleavage formation arrests after Intracytoplasmic sperm injection (ICSI) was reported. Ethanol sclerotherapy (EST) was selected due to abdominal pain and previous in vitro fertilization (IVF) cycles, and ovarian stimulation was initiated eight weeks later. The patient was stimulated in a minimal stimulation protocol. A total of six oocytes were retrieved, resulting in 3 embryos of good to moderate quality that were frozen. The patient became pregnant following two embryo transfers in the FET cycle. Conclusion: EST may have been considered as a first-line therapy to treat infertility after the failure of IVF. It was found that EST may have improved IVF outcomes. | Cite By, Google Scholar Articles by Saghar Salehpour Articles by Parisa Taherzadeh Borujeni Articles by Nazanin Hajizadeh Submit Paper Online Submission System IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal Online Submission System IJWHR ENDNOTE ® Style Tutorials Publication Charge Women's Reproductive Health Research Center About Journal Publication Information Publisher Aras Part Medical International Press Editor-in-Chief Arash Khaki Mertihan Kurdoglu Deputy Editor Zafer Akan Aras Part Medical International Press Editor-in-Chief Arash Khaki Mertihan Kurdoglu Deputy Editor Zafer Akan Published Article Statistics

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endometriosisendometriomainfertility

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